Homestead_Medler INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK •
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE,IN 47715 812-402-4553 CHRISTINA(a1REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail 7 r-
aSELlLER(S)/GRANTOR(S)„-_ ____"— v I s - -- :LT;— - . V .:' -- -----
CHRISTOPHER JASON VOGES
Seller I-Name as appears on conveyance document( Seller 1-Name as appears on conveyance document
ai� YJ 10 ;r,2 C+. -ti r�l. 3�
Address(Number and Street) ( ^7 t Address(Number and Street)
(r-i(
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete as equired by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
i-..-- (.7-4 8- -j3
Signs `e of Seller Signature of Seller
CHRI. TOPHFR,IA. ON VOGES 08/30/2013
Printed Name of Seller Sian Date(MM/oo/rvn9 Printed Nome of Seller Sian Date(M.e/oa/YYYY1
;F.BUY'ER(S)/GRANTEE(S)=APPLICATION-FOR PROPERTY TA$DEDUCTt ONS=IDENTIFYALL.ITEMSTHAT7AP,P.LY ____ ______
JOSHUA 0 MEDLER KRISIE L MEDLER
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2867 W SOYBEAN LANE 2867 W SOYBEAN LANE
Address(Number and Street) Address(Number and Street)
FORT BRANCH IN 48648 FORT BRANCH IN 48648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Fl ❑ 1.Will this property be the buyer's primary 1st ❑ 3.Homestead
residence? Provide complete address of primary ❑ IN 4.Solar Energy Y oo a
���III"'
residence,including county:
El 12 S.Wind Power e ri '� 7
2867 W SOYBEAN LANE
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
FORT BRANCH IN 48648 GIBSON ❑ 0 7.Geothermal Ene eatig Qoling Device
City,State ZIP Code County V��°
❑ ® 2.Does the buyer have a homestead in Indiana to be El
IN 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 151 9.Would you like ece=ROM J-ntaCr information
complete address of residence being vacated, P P rty �+esg-4 _ f
including county: below.Pease s•• r>� b*APPkTrrOlilformation.
Not available in all counties.)
Address(Number and Street)
JOSHUA 0 MEDLER dity ,na( voo-Voa 5ai
City Save ZIP Code County
Primary property owner contact name E-mail